Acute coronary syndrome pathway, stroke chain of survival and time windows, and post-cardiac-arrest care including targeted temperature management and hemodynamic goals.
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- How soon should a 12-lead ECG be obtained for a patient with suspected ACS arriving in the ED?
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Within 10 minutes of arrival- What is the door-to-balloon time goal for primary PCI in STEMI?
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90 minutes- What is the door-to-needle time goal for fibrinolytic therapy in STEMI?
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30 minutes- What dose of aspirin should be given to a patient with suspected ACS?
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160 to 325 mg, chewed- Why must you ask about recent PDE5 inhibitor use before giving nitroglycerin in ACS?
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Combining them can cause severe, refractory hypotension- What ECG finding defines a STEMI?
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ST elevation in two or more contiguous leads- When should supplemental oxygen be given to a patient with suspected ACS?
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Only if oxygen saturation is below 90 percent- When is morphine appropriate in ACS management?
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Only for chest pain not relieved by nitrates, since it may mask symptoms or worsen outcomes- What does ST elevation on right-sided ECG leads in an inferior MI suggest?
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Right ventricular infarction- What is the maximum time window from symptom onset to give fibrinolytics in STEMI when PCI is unavailable?
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Within 12 hours of symptom onset- Should waiting for troponin results delay reperfusion therapy in STEMI?
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No, reperfusion should not be delayed for troponin results- When should beta-blockers be avoided in acute ACS management?
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When there are signs of acute heart failure or cardiogenic shock- Name a P2Y12 inhibitor commonly used in ACS treatment.
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Clopidogrel (or ticagrelor)- What does the F in the stroke FAST acronym stand for?
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Face drooping- What does the A in the stroke FAST acronym stand for?
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Arm weakness
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